AA Kenpo Karate Studios

Birthday Party Form
Because this is a Karate Studio we need ALL guests that plan to participate at the Birthday Party to fill out the form below for Liability Purposes.

Guests will not be able to participate or come onto the mat without this form being filled out.

Form - Birthday Party Registration

Your Child's Name (required)

First Name (required)

Last Name (required)

Child's Birthday (required)

Name of Child's Birthday Party You're Attending?

Parent/Guardian's Name (required)

First Name (required)

Last Name (required)

E-Mail Address (required) :

Emergency Contact (required)

Phone Type

Phone Number (required)

Other Info (Medical Conditions, Food Allergies, Etc.)

Terms and Conditions Acknowledgement and Agreement
I, the designated parent or person having legal custody/guardianship of the minors shown above, give permission for attendees listed to participate in all activities as described in the announcement for the program event. I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities of the program. I will not hold AA Kenpo Karate, its instructors, employees or other attending guests liable for any injuries incurred during the program whether caused by equipment or the acts or omissions of others excepting, damage or injury solely caused by the willful misconduct of negligence of AA Kenpo Karate or its employees or agents.

I, the undersigned parent or person having legal custody/guardianship of the minors shown above acknowledge that there is no existing medical condition, food allergy and/or other condition of importance that is not listed above in the section "Other Info" that will prohibit the mentioned minors above to participate in activities listed in the events announcement. I agree to pay AA Kenpo Karate for reservations I have made in advance. I understand by clicking on the submit button above that I agree to the policies and have filled out this registration form accurately and to the best of my knowledge.